Expandable vertebral implant and method
A system and methods for assembling an expandable vertebral implant for engagement between vertebrae. The implant may expand and/or collapse between a variety of lengths. The implant may include an inner core, an outer core, and/or a middle core such that the inner and outer cores may be moveable relative to each other along an axis. The middle core may include one or more gear teeth. The implant may include one or more locking mechanisms. The implant may include one or more endplates. One endplate may be fixed and/or polyaxial. A tool may be used to vary the length of the implant.
1 . A spinal implant comprising:
an expandable body configured to expand from a first end to a second end along a longitudinal axis, the expandable body having an outer core, a middle core, and an inner core threadedly coupled and moveable relative to each other along the longitudinal axis, the middle core configured to simultaneously rotate about and translate along the longitudinal axis within the outer core and to cause the inner core to simultaneously translate along the longitudinal axis with respect to both the middle core and the outer core thereby adjusting a body length of the expandable body; and
wherein:
one or more locking mechanisms coupled to the outer core are configured to physically contact and engage with the middle core, and
the middle core or the outer core is a single-piece monolithic mechanism, the middle core comprises internal threads and external threads, and the outer core comprises internal threads.
2 . The spinal implant of claim 1 further comprising a connecting sleeve, wherein the connecting sleeve translates along the longitudinal axis and/or does not allow rotation of the inner core relative to the outer core.
3 . The spinal implant of claim 1 wherein the middle core includes a plurality of gear teeth or recesses.
4 . The spinal implant of claim 3 wherein the plurality of gear teeth or recesses are in a helical pattern about a periphery of the middle core.
5 . The spinal implant of claim 1 wherein the middle core is threadedly coupled to both the inner core and the outer core.
6 . The spinal implant of claim 1 wherein the middle core has an outer periphery with a first thread and an inner periphery with a second thread, wherein the inner core includes an outer periphery with a third thread, and wherein the outer core includes an inner periphery with a fourth thread, wherein the first thread is one of the external threads of the middle core, the second thread is one of the internal threads of the middle core, the fourth thread is one of the internal threads of the outer core.
7 . The spinal implant of claim 6 wherein the first thread and the second thread are different, wherein the first thread runs in a different direction than the second thread.
8 . The spinal implant of claim 1 wherein the inner core includes a hollow interior portion and a threaded external portion, and a first end portion configured to engage a first vertebral body.
9 . The spinal implant of claim 1 wherein the outer core includes a hollow threaded interior portion coaxially configured to receive the middle core and the inner core therein, and a second end portion configured to engage a second vertebral body.
10 . The spinal implant of claim 9 wherein the middle core includes a hollow threaded portion coaxially configured to receive the inner core therein and a threaded external portion configured to engage the hollow interior portion of the outer core.
11 . The spinal implant of claim 1 wherein the middle core includes a plurality of gear teeth or recesses cut into at least a portion of an outer periphery.
12 . The spinal implant of claim 1 wherein the one or more locking mechanisms is configured to translate along the longitudinal axis.
13 . The spinal implant of claim 1 wherein one or more locking mechanisms is a connecting sleeve locking the rotation about the longitudinal axis of the inner core with respect to the outer core.
14 . The spinal implant of claim 1 wherein one or more locking mechanisms is a locking member and/or biasing member.
15 . The spinal implant of claim 1 wherein at least one of a first end portion of the inner core and a second end portion of the outer core comprises a first attachment feature; one or more endplates coupled to the implant with the first attachment feature in at least one of the first end and the second end.
16 . The spinal implant of claim 1 wherein a polyaxial endplate assembly is attached to at least one of the inner core and the outer core.
17 . The spinal implant of claim 16 wherein the polyaxial endplate assembly is capable of pivoting along at least two intersecting axes disposed in the same plane which is not parallel to the longitudinal axis.
18 . The spinal implant of claim 16 wherein the polyaxial endplate assembly includes a collar clamp and/or a locking member.
19 . The spinal implant of claim 1 wherein a counterbore extends through an inner surface and an opposite outer surface of the outer core; a first set screw positioned in the counterbore to fix the inner core and/or middle core relative to the outer core.
20 . The spinal implant of claim 1 further comprising a biased locking member to fix the rotation of the middle core and/or inner core relative to the outer core.
21 . The spinal implant of claim 20 wherein the biased locking member includes one or more locking teeth and one or more biasing element.
22 . The spinal implant of claim 1 , wherein the one or more locking mechanisms coupled to the outer core are configured to:
lock a relative movement of the inner core with respect to the outer core through the engagement with the middle core and/or the inner core; and
unlock the relative movement of the inner core with respect to the outer core through a disengagement with the middle core and/or the inner core.
23 . A spinal implant comprising:
an expandable body having an adjustable length along a longitudinal axis thereof, the expandable body further comprising a first core, a second core configured to simultaneously translate and rotate within the first core along the longitudinal axis, and a third core configured to translate along the longitudinal axis within the second core, wherein rotation of the second core within the first core causes the third core to simultaneously translate along the longitudinal axis with respect to both the second core and the first core thereby adjusting a body length of the expandable body; and
wherein:
one or more locking mechanisms coupled to the outer core are configured to physically contact and engage with the second core,
the second core comprising external threads, the external threads comprising a plurality of gear teeth radially extended from the outer surface of the second core, and
the one or more locking mechanism further comprising a locking member configured to move along the longitudinal axis to engage or disengage with one or more of the plurality of the gear teeth to lock or unlock second core relative to the first core.
24 . The spinal implant of claim 23 further comprising a connecting sleeve, wherein the connecting sleeve prevents rotation of the third core relative to the first core.
25 . The spinal implant of claim 23 wherein the second core includes the plurality of gear teeth and a plurality of recesses.
26 . The spinal implant of claim 25 wherein the plurality of gear teeth or recesses are in a helical pattern about a periphery of the second core.
27 . The spinal implant of claim 23 wherein the second core is threadedly coupled to both the third core and the first core.
28 . The spinal implant of claim 23 wherein the second core has an outer periphery with a first thread and an inner periphery with a second thread, wherein the third core includes an outer periphery with a third thread, and wherein the first core includes an inner periphery with a fourth thread.
29 . The spinal implant of claim 28 wherein the first thread and the second thread are different, wherein the first thread runs in a different direction than the second thread.
30 . The spinal implant of claim 28 wherein the third core includes a hollow interior portion and a first end portion configured to engage a first vertebral body.
31 . The spinal implant of claim 28 wherein the first core is configured to receive the second core therein, and the first core has a second end portion configured to engage a second vertebral body.
32 . The spinal implant of claim 23 wherein the one or more locking mechanisms is configured to translate along the longitudinal axis.
33 . The spinal implant of claim 23 wherein the one or more locking mechanisms is a connecting sleeve locking the rotation about the longitudinal axis of the third core with respect to the first core.
34 . The spinal implant of claim 23 wherein the one or more locking mechanisms is a locking member and/or biasing member.
35 . The spinal implant of claim 23 wherein at least one of a first end portion of the third core and a second end portion of the first core comprises a first attachment feature; one or more endplates coupled to the implant with the first attachment feature in at least one of the first end and the second end.
36 . The spinal implant of claim 23 wherein a polyaxial endplate assembly is attached to at least one of the first core and the third core.
37 . The spinal implant of claim 36 wherein the polyaxial endplate assembly is capable of pivoting along at least two intersecting axes disposed in the same plane which is not parallel to the longitudinal axis.
38 . The spinal implant of claim 36 wherein the polyaxial endplate assembly includes a collar clamp and/or a locking member.
39 . The spinal implant of claim 23 wherein a counterbore extends through an inner surface and an opposite outer surface of the first core and a first set screw is positioned in the counterbore to fix the third core and/or second core relative to the first core.
40 . The spinal implant of claim 23 further comprising a biased locking member to fix the rotation of the second core and/or third core relative to the first core.
41 . The spinal implant of claim 40 wherein the biased locking member includes one or more locking teeth and one or more biasing element.
42 . The spinal implant of claim 23 , wherein the one or more locking mechanisms coupled to the outer core are configured to:
lock a relative movement of the inner core with respect to the outer core through the engagement with the middle core and/or the inner core; and
unlock the relative movement of the inner core with respect to the outer core through a disengagement with the middle core and/or the inner core.